Parker v. American Family Insurance

694 N.E.2d 211, 296 Ill. App. 3d 110, 230 Ill. Dec. 580, 1998 Ill. App. LEXIS 263
Appellate Court of Illinois·Decided April 23, 1998·No. 3— 97—0534·Published·Cited by 3 cases

Opinions

JUSTICE BRESLIN

delivered the opinion of the court:

The issue before the court is whether an insurance- policy’s underinsured motorist arbitration provision is contrary to public policy if it permits a trial de novo for awards in excess of the minimum liability set forth in the Illinois Safety and Family Financial Responsibility Law (625 ILCS 5/7 — 100 et seq. (West 1996)). The trial court concluded that such a structure is contrary to public policy and entered a judgment confirming an arbitration panel’s award in favor of the insured, Dennis Parker. Defendant American Family Insurance Company (American Family) appeals. We affirm.

FACTS

Parker was injured in a motor vehicle accident while he was a passenger in a car. The vehicle that struck the one in which he was riding had liability insurance limits in the amount of $20,000. Parker filed suit against the driver of that vehicle and settled the case for the $20,000 policy limit. Parker then filed for arbitration with his own insurance company, American Family, as permitted by the arbitration provisions for underinsured motorist coverage in his American Family policy. The pertinent provisions of the policy provided:

“Arbitration
We or an insured person may demand arbitration if we do not agree:
1. That the person is legally entitled to recover damages from the owner or operator of an underinsured motor vehicle.
2. On the amount of payment under this part.
* * *
Any arbitration award not exceeding the minimum limit of the Illinois Safety Responsibility Law:
1. Will be binding; and
2. May be entered as a judgment in any court having jurisdiction.
Hi * *
If any arbitration award exceeds the minimum limits of the Illinois Safety Responsibility Law, either party has a right to trial on all issues in any court having jurisdiction.”

An arbitration panel awarded Parker $75,000 less the $20,000 received in the settlement. Parker filed a petition for judgment on the award in the circuit court. American Family moved to dismiss the petition and filed a counterclaim for a trial on all issues. Relying on Fireman’s Fund Insurance Cos. v. Bugailiskis, 278 Ill. App. 3d 19, 662 N.E.2d 555 (1996), the trial court found that the arbitration clause was one of adhesion and violated public policy. The court subsequently denied American Family’s petition and entered a judgment on Parker’s petition. This appeal followed.

ANALYSIS

The arbitration clause in dispute is common to insurance policies. Numerous courts have addressed the issue of whether such clauses are valid. A majority of courts have determined that these “escape hatch” clauses are contrary to public policy. See O’Neill v. Berkshire Mutual Insurance Co., 786 F. Supp. 397 (D. Vt. 1992); Field v. Liberty Mutual Insurance Co., 769 F. Supp. 1135 (D. Haw. 1991); Mendes v. Automobile Insurance Co., 212 Conn. 652, 563 A.2d 695 (1989); Worldwide Insurance Group v. Klopp, 603 A.2d 788 (Del. 1992); Schmidt v. Midwest Family Mutual Insurance Co., 426 N.W.2d 870 (Minn. 1988); Hanover Insurance Co. v. Losquadro, 157 Misc. 2d 1014, 600 N.Y.S.2d 419 (1993); Nationwide Mutual Insurance Co. v. Marsh, 15 Ohio St. 3d 107, 472 N.E.2d 1061 (1984) (Sweeney, J., concurring); Pepin v. American Universal Insurance Co., 540 A.2d 21 (R.I. 1988).

• In finding that the “escape hatch” clauses are contrary to public policy, the courts generally follow two lines of reasoning. In the first line, the courts invalidate the clauses because they conflict with state policies regarding arbitration. Several courts have determined that the clauses frustrate the state’s requirement of binding arbitration. E.g., Pepin, 540 A.2d at 22-23. In the second line, courts void the clauses on the basis that they unfairly favor the insurer. E.g., Bugailiskis, 278 Ill. App. 3d at 24, 662 N.E.2d at 558. Since our state encourages arbitration, whether it be binding or nonbinding (see Mayflower Insurance Co. v. Mahan, 180 Ill. App. 3d 213, 535 N.E.2d 924 (1988)), the policy considerations in the first line of reasoning are not relevant. We need address solely whether the clause is void because it is unconscionable. American Family asserts that the clause is proper and not against public policy because it promotes arbitration and does not unreasonably favor itself over the insured.

Comments from courts in our sister states have described the clause as creating a “manifest inequitty].” Mendes, 212 Conn, at 660, 563 A.2d at 698. Although facially equal, they are not truly equal. Marsh, 15 Ohio St. 3d at 110, 472 N.E.2d at 1063 (Sweeney, J., concurring). Policies with such clauses have been found to possess “earmarks of an adhesive contract.” Schmidt, 426 N.W.2d at 874. They are said to lack mutuality of remedy and are the result of unequal bargaining positions in which the purchaser has little opportunity for arm’s length negotiation. Schmidt, 426 N.W.2d at 874; see also Losquadro, 157 Misc. 2d at 1019, 600 N.Y.S.2d at 423 (“[T]he appearance of mutuality is an illusion”). The fact that both parties are bound by a low award, when an insurance company is unlikely to appeal, and not bound when there is a high award,, when an insurance company is more likely to appeal, demonstrates that the benefits of the clause truly only favor the insurer. Klopp, 603 A.2d at 791; Schmidt, 426 N.W.2d at 873-75. In essence, the clauses are escape devices that may be used to escape the unwary claimant. Mendes, 212 Conn, at 659-60, 563 A.2d at 698.

Courts in Florida and New Jersey reject these descriptions. They note that the insurer also has a right to reject an award over the statutorily prescribed level and demand a jury trial. Roe v. Amica Mutual Insurance Co., 533 So. 2d 279 (Fla. 1988); Cohen v. Allstate Insurance Co., 231 N.J. Super. 97, 555 A.2d 21 (1989)). Thus, there is no unconscionable result.

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Parker v. American Family Insurance, 694 N.E.2d 211, 296 Ill. App. 3d 110, 230 Ill. Dec. 580, 1998 Ill. App. LEXIS 263 (Ill. Ct. App. 1998).

694 N.E.2d 211 (Parker v. American Family Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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